Is High-intensity Interval Training a Feasible Therapy Option in Geriatric Rehabilitation? A Randomized Controlled Pilot Study

IF 0.5 4区 医学 Q4 REHABILITATION Physikalische Medizin Rehabilitationsmedizin Kurortmedizin Pub Date : 2021-12-14 DOI:10.1055/a-1865-5704
Michael Krüsi, J. Bansi, R. Sylvester, S. Bachmann
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Abstract

Abstract Background With an increasing number of inpatients in geriatric rehabilitation, there is continuing interest in efficient training measures regarding physical performance.Objectives To examine the feasibility and outcomes of high-intensity interval training (HIIT) in geriatric patients. Methods Single-centre randomized controlled study of HIIT vs. moderate continuous training (MCT) for patients ≥65 years old referred to inpatient rehabilitation. Cardiopulmonary exercise testing (CPET) was performed before the first and last training in order to measure participant’s cardiorespiratory fitness. At the same time-points patients completed a series of questionnaires regarding subjective improvements and acceptance of the training methods. Results Regarding feasibility, HIIT showed a completion rate of 82.4% and an adherence rate of completed sessions of 83.3%. HIIT significantly improved cardiorespiratory fitness (+13% for VO2peak, p=0.01), respiratory quotient (+9%, p=0.01) and power output (+12% for Watt peak, p=0.01) compared with MCT. Significant improvements were also seen over time for physical and mental scores of PROMIS-10 and quality of life. Conclusion A HIIT intervention has proven feasible for elderly patients in a geriatric rehabilitative setting. Further research should specify the HIIT intervention in order to offer this training to more patients. Long-term observations are also needed.
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高强度间歇训练是老年人康复治疗的可行选择吗?一项随机对照试验研究
摘要背景随着老年康复住院人数的增加,人们对有关身体表现的有效训练措施越来越感兴趣。目标 研究高强度间歇训练(HIIT)在老年患者中的可行性和效果。方法对转诊至住院康复的≥65岁患者进行HIIT与中等持续训练(MCT)的单中心随机对照研究。在第一次和最后一次训练前进行心肺运动测试(CPET),以测量参与者的心肺健康状况。同时,患者完成了一系列关于主观改善和接受训练方法的问卷调查。结果在可行性方面,HIIT的完成率为82.4%,完成疗程的依从率为83.3%。与MCT相比,HIIT显著改善了心肺功能(VO2峰值+13%,p=0.01)、呼吸商(+9%,p=0.01。随着时间的推移,PROIS-10的身体和心理评分以及生活质量也有了显著改善。结论HIIT干预已被证明在老年康复环境中对老年患者是可行的。进一步的研究应该具体说明HIIT干预,以便为更多的患者提供这种培训。还需要进行长期观察。
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来源期刊
CiteScore
1.10
自引率
25.00%
发文量
70
审稿时长
3 months
期刊介绍: The Journal of Physical and Rehabilitation Medicine offers you the most up-to-date information about physical medicine in clinic and practice, as well as interdisciplinary information about rehabilitation medicine and spa medicine. Publishing 6 issues a year, the journal includes selected original research articles and reviews as well as guidelines and summaries of the latest research findings. The journal also publishes society news and editorial material. “Online first” publication ensures rapid dissemination of knowledge.
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